| NPI | 1972796605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ESSER DOVE Member 818-644-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 51010) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2024-05-20 |